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1578768776 NPI number — GROTH RECOVERY ALLIANCE

NPI Number: 1578768776
Health Care Provider/Practitioner: GROTH RECOVERY ALLIANCE

Information about “1578768776” NPI (GROTH RECOVERY ALLIANCE) exists in 1578768776 in HTML format HTML  |  1578768776 in plain Text format TXT  |  1578768776 in PDF (Portable Document Format) PDF  |  1578768776 in an XML format XML  formats.

NPI Number : 1578768776 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578768776",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GROTH RECOVERY ALLIANCE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3525 ROSEDALE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "DALLAS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75205-1225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "214-265-5900",
    "MailingAddressFaxNumber": "214-265-9766",
    "FirstLinePracticeLocationAddress": "466 COUNTY ROAD 2119",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSBURG",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75686-3686",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "903-855-0330",
    "PracticeLocationAddressFaxNumber": "903-855-0573",
    "EnumerationDate": "06/18/2007",
    "LastUpdateDate": "08/22/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GROTH",
    "AuthorizedOfficialFirstName": "MELISSA",
    "AuthorizedOfficialMiddleName": "B",
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "214-265-5900",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3245S0500X",
        "TaxonomyName": "Children's Substance Abuse Rehabilitation Facility",
        "LicenseNumber": "2522-A",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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